A nurse is reinforcing discharge education to a client who has hypokalemia. Which of the following suggestions should be included in the teaching plan?

Report new-onset muscle weakness

Increase consumption of apples and broccoli

Avoid salt substitutes

Report falls, due to high risk of osteoporosis

Answer and Explanation

The Correct Answer is A

A. Report new-onset muscle weakness: Hypokalemia can cause muscle weakness, cramps, and fatigue, which are important symptoms that need to be monitored. Reporting these symptoms promptly is crucial because severe hypokalemia can lead to life-threatening complications, such as respiratory failure or cardiac arrhythmias.

B. Increase consumption of apples and broccoli: While fruits and vegetables like apples and broccoli are healthy, they are not particularly high in potassium. The client should be encouraged to consume potassium-rich foods such as bananas, oranges, potatoes, and spinach to help correct hypokalemia.

C. Avoid salt substitutes: Some salt substitutes contain potassium chloride, which can actually help increase potassium levels. However, this option might be recommended in certain conditions where potassium levels need to be carefully controlled, such as in renal failure, not in hypokalemia management.

D. Report falls, due to high risk of osteoporosis: Hypokalemia does not directly increase the risk of osteoporosis. Falls may occur due to muscle weakness, but this is not specifically related to osteoporosis. Therefore, reporting falls is not the primary concern in hypokalemia.

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Free Nursing Study Resources

Correct Answer is ["A","B","C","D"]

Explanation

A. Dyspnea: Shortness of breath is a common and significant symptom of COPD, resulting from the narrowing of airways and difficulty in expelling air.

B. Chronic cough: A persistent cough, often productive, is a hallmark of COPD. It is typically a response to chronic irritation and inflammation of the airways.

C. Wheezing: Wheezing is a common symptom of COPD due to the constriction of airways and turbulent airflow through narrowed airways.

D. Sputum production: Increased sputum production is common in COPD, especially in chronic bronchitis type of COPD, where inflammation leads to excess mucus production.

E. Chest tightness: While chest tightness can occur in COPD, it is less commonly emphasized compared to the other symptoms listed. The primary symptoms are generally more focused on dyspnea, cough, wheezing, and sputum production.

A. Respiratory alkalosis B. Increased venous return C. Decreased cardiac output D. Dilated ventricles

Correct Answer is C

Explanation

A. Respiratory alkalosis: Respiratory alkalosis is generally associated with hyperventilation and is not directly caused by tension pneumothorax. In tension pneumothorax, the primary issues are related to pressure changes within the thoracic cavity, not respiratory alkalosis.

B. Increased venous return: In tension pneumothorax, venous return is actually decreased due to the increased intrathoracic pressure compressing the great vessels, which impedes blood flow back to the heart.

C. Decreased cardiac output: Tension pneumothorax causes a significant increase in intrathoracic pressure, leading to compression of the heart and great vessels, which results in decreased venous return and ultimately decreased cardiac output. This is a critical and life-threatening consequence of tension pneumothorax.

D. Dilated ventricles: Dilated ventricles are more commonly seen in chronic heart conditions such as heart failure, rather than in acute tension pneumothorax. Tension pneumothorax typically results in reduced ventricular filling rather than dilation.

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A nurse is reinforcing discharge education to a client who has hypokalemia. Which of the following suggestions should be included in the teaching plan?

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Naxlex Comprehensive Predictor Exams

Which of the following are the most common manifestations of COPD? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is collecting data for a client who has tension pneumothorax. Which of the following findings should the nurse expect following tracheal deviation?

Correct Answer is C

Explanation

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